公开(公告)号：US20190090974A1

公开(公告)日：2019-03-28

申请号：US16139644

申请日：2018-09-24

Applicant: Boston Scientific Scimed, Inc.

Inventor： Gary Kappel ,  Barry Weitzner ,  Paul Smith ,  Erin Daly

IPC: A61B90/11 ,  A61B50/20 ,  A61B90/50

Abstract: A support mechanism for a medical device may include an adjustable support that includes a plurality of elongate members movable relative to one another. The support mechanism may also include a bracket coupled to the adjustable support. The bracket may be adapted to be coupled to a first medical device that extends along a longitudinal axis. The support mechanism may also include an instrument holder that extends along a central axis. The instrument holder may be movably coupled to the bracket and adapted to be coupled to a second medical device. The bracket and the instrument holder may be oriented such that central axis of the instrument holder intersects the longitudinal axis at an angle.

公开(公告)号：US20180353171A1

公开(公告)日：2018-12-13

申请号：US16102899

申请日：2018-08-14

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： Paul Smith ,  Justin Elfman ,  Samuel Raybin ,  Liam K.P.M. Rolle ,  Naroun Suon ,  John B. Golden

IPC: A61B17/062 ,  A61B17/06 ,  A61B17/04

CPC classification number: A61B17/0625 ,  A61B2017/0417 ,  A61B2017/06047 ,  A61B2017/0609

Abstract: A device for passing a needle and suture longitudinally through a target tissue includes a proximal jaw including a proximal recess and a proximal retention mechanism for releasably engaging a first end of a needle received within the proximal recess and a distal jaw movably coupled to the proximal jaw such that the proximal and distal jaws are longitudinally movable relative to one another. The distal jaw includes a distal recess and a distal retention mechanism for releasably engaging a second end of the needle received within the distal recess. The proximal and distal jaws are movable between a first state, in which the proximal retention mechanism is in a locked configuration and the distal retention mechanism is in an unlocked configuration, and a second state, in which the proximal retention mechanism is in an unlocked configuration and the distal retention mechanism is in a locked configuration.

公开(公告)号：US20180103959A1

公开(公告)日：2018-04-19

申请号：US15842489

申请日：2017-12-14

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： Samuel RAYBIN ,  Paul Smith ,  Norman C. May ,  Naroun Suon ,  Matthew Jagelski ,  Ray Hewenson Tong ,  John B. Golden ,  Kevin James McElwee ,  Andrew James Whitney

IPC: A61B17/122 ,  A61B17/10 ,  A61B17/00 ,  A61B17/04 ,  A61B17/062 ,  A61B17/08 ,  A61B17/128 ,  A61B17/06

CPC classification number: A61B17/1227 ,  A61B17/00234 ,  A61B17/0467 ,  A61B17/0469 ,  A61B17/062 ,  A61B17/0625 ,  A61B17/083 ,  A61B17/10 ,  A61B17/1285 ,  A61B2017/00278 ,  A61B2017/00353 ,  A61B2017/00358 ,  A61B2017/06047 ,  A61B2017/086 ,  A61B2090/037

Abstract: A device for treating a tissue opening includes a proximal portion including an elongated flexible member, a capsule releasably coupled to a distal end of the flexible member and including a lumen extending therethrough and a clip including a pair of arms movably housed within the capsule. A suture extending along a first one of the pair of arms and including a loop at a distal end thereof extending across an opening extending through the first one of the pair of arms. A suture grabbing element extending laterally from a second one of the pair of arms and including a hook so that, when the pair of arms are moved toward a closed configuration, the hook extends through the opening to grab the loop and draw the distal end of the suture from the first one of the pair of arms toward the second one of the pair of arms.

公开(公告)号：US20180092523A1

公开(公告)日：2018-04-05

申请号：US15720208

申请日：2017-09-29

Applicant: Boston Scientific Scimed, Inc.

Inventor： Paul Smith ,  Scott Brechbiel ,  Ryan Wales ,  Danny Shu-Huan Lee ,  Samuel Raybin ,  Niklas Andersson ,  Jialiang Wang

IPC: A61B1/32 ,  A61B17/02

Abstract: The present disclosure relates to the field of tissue dissection. Specifically, the present disclosure relates to medical devices which lift and retract tissue during a dissection procedure to improve visualization of the target tissue and mitigate obstruction of dissection tools. In particular, the present disclosure relates to a tissue retraction device which moves from a constrained to relaxed configuration to immobilize and retract the dissected portion of target tissue during a dissection procedure.

公开(公告)号：US09895153B2

公开(公告)日：2018-02-20

申请号：US14755923

申请日：2015-06-30

Applicant: Boston Scientific Scimed, Inc.

Inventor： Samuel Raybin ,  Paul Smith ,  Norman C May ,  Naroun Suon

IPC: A61B17/062 ,  A61B17/04 ,  A61B17/122 ,  A61B17/00 ,  A61B17/08 ,  A61B17/10 ,  A61B17/128 ,  A61B17/06 ,  A61B90/00

CPC classification number: A61B17/1227 ,  A61B17/00234 ,  A61B17/0467 ,  A61B17/0469 ,  A61B17/062 ,  A61B17/0625 ,  A61B17/083 ,  A61B17/10 ,  A61B17/1285 ,  A61B2017/00278 ,  A61B2017/00353 ,  A61B2017/00358 ,  A61B2017/06047 ,  A61B2017/086 ,  A61B2090/037

Abstract: A device for treating a tissue opening includes a capsule extending longitudinally from a proximal end to a distal end and including a lumen extending therethrough; a pair of arms movably housed within the lumen of the capsule such that the pair of arms are movable between an open configuration and a closed configuration, the pair of arms being biased toward the open configuration such that when the pair of arms are moved distally with respect to the capsule, distal ends of the pair of arms are separated from one another to receive target tissue therebetween; a needle releasably connected to a first one of the pair of arms, the needle extending laterally inward toward a second one of the pair of arms and including a connecting structure extending along a portion thereof, the second one of the pair of arms including an opening located so that, when the pair of arms are moved to the closed configuration, the connecting structure of the needle engages the opening; and a suture extending from a portion of the needle proximally through the capsule.

公开(公告)号：US09808258B2

公开(公告)日：2017-11-07

申请号：US14461650

申请日：2014-08-18

Applicant: Boston Scientific Scimed, Inc.

Inventor： Jason Weiner ,  Paul Smith ,  Robert B. Devries

IPC: A61B17/04 ,  A61B17/128 ,  A61B17/12 ,  A61B17/00 ,  A61B17/22 ,  A61B17/122 ,  A61B17/064 ,  A61B17/221 ,  A61B90/00

CPC classification number: A61B17/128 ,  A61B17/12013 ,  A61B17/12104 ,  A61B17/122 ,  A61B17/1285 ,  A61B17/221 ,  A61B2017/00349 ,  A61B2017/00809 ,  A61B2017/0641 ,  A61B2017/12018 ,  A61B2017/22034 ,  A61B2090/037

Abstract: A system may include an introducer sheath including a retention member configured to anchor the introducer sheath in a natural body lumen having a wall. The system may also have an elongate member extending along a longitudinal axis through a working channel of the introducer sheath. Additionally, the system may have a manipulating portion coupled to a distal end of the elongate member. The manipulating portion may include at least one selectively actuatable member configured to transition between an undeployed configuration and a deployed configuration. In the undeployed configuration, the at least one actuatable member may extend substantially parallel to the longitudinal axis and in at least one position in the deployed configuration, the at least one actuatable member may extend radially outwardly from the longitudinal axis. In the deployed configuration, the manipulating portion and elongate member may be configured to be proximally retracted toward the working channel of the introducer sheath so as to move a distal portion of the wall towards a proximal portion of the wall.

公开(公告)号：US09770252B2

公开(公告)日：2017-09-26

申请号：US14209710

申请日：2014-03-13

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： Paul Smith ,  Samuel Raybin ,  John Golden ,  Daniel Lang

IPC: A61B17/221 ,  A61B17/3205 ,  A61B18/14 ,  A61B18/00 ,  A61B17/00

CPC classification number: A61B17/221 ,  A61B17/32056 ,  A61B18/14 ,  A61B2017/00358 ,  A61B2017/00893 ,  A61B2017/2212 ,  A61B2017/2217 ,  A61B2018/00267 ,  A61B2018/00482 ,  A61B2018/00595 ,  A61B2018/141 ,  A61B2218/002

Abstract: A medical device and a method for manipulating a tissue. The medical device includes two or more bars, a snare loop and a constricting element. Each bar includes a proximal end, and one or more distal ends, such that the bars are in close proximity at the proximal end. The snare loop maybe coupled to the distal ends of the bars. The constricting element maybe movably coupled to the bars, such that the constricting element expands the snare loop when positioned at the proximal end of the plurality of bars while the constricting element collapses the snare loop when positioned at the distal end of the plurality of bars, thus, keeping the distal end of the snare loop stationary with respect to the tissue.

公开(公告)号：US20170164815A1

公开(公告)日：2017-06-15

申请号：US15375691

申请日：2016-12-12

Applicant: Boston Scientific Scimed, Inc.

Inventor： Paul Smith ,  Kevin James McElwee ,  Ray Hewenson Tong

IPC: A61B1/00 ,  A61B1/273 ,  A61M25/10

CPC classification number: A61B1/00082 ,  A61B1/00089 ,  A61B1/00098 ,  A61B1/00128 ,  A61B1/273 ,  A61B1/31 ,  A61M25/1018

Abstract: The present disclosure relates to the field of endoscopy. In particular, the present disclosure relates to systems and methods for navigating the tortious anatomy of the gastrointestinal (GI) tract and visualizing lesions and/or tumors obscured within folds of the lumen wall.

公开(公告)号：US09629649B2

公开(公告)日：2017-04-25

申请号：US14842544

申请日：2015-09-01

Applicant: Boston Scientific Scimed, Inc.

Inventor： Paul Smith ,  Oscar Carrillo, Jr.

IPC: A61B17/32 ,  A61B17/12 ,  A61B17/3205 ,  A61B17/00 ,  A61B17/30

CPC classification number: A61B1/00 ,  A61B1/0008 ,  A61B1/00087 ,  A61B1/00131 ,  A61B1/00137 ,  A61B17/00234 ,  A61B17/12013 ,  A61B17/320016 ,  A61B17/32056 ,  A61B2017/00269 ,  A61B2017/00296 ,  A61B2017/12018 ,  A61B2017/306

Abstract: A tissue resection cap assembly configured to be secured to the distal end of an elongated medical device, such as an endoscope, and a method for resecting tissue. The cap assembly may include a cap structure comprising a working channel and a resection device channel, wherein the resection device channel extends inside the cap structure to a resection device track positioned substantially around the working channel adjacent the distal end of the cap structure. The resection device channel is adapted to direct a resection device from the working channel of the endoscope to the resection device track. The cap assembly further includes one or more ligation bands on the outside surface of the cap structure and a trigger line for deploying the ligation bands from the distal end of the cap structure. The method includes deploying a ligation band around tissue and using a resecting loop to cut the tissue.

公开(公告)号：US09155554B2

公开(公告)日：2015-10-13

申请号：US13727006

申请日：2012-12-26

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： Paul Smith ,  Oscar Carrillo, Jr.

IPC: A61B17/32 ,  A61B17/12 ,  A61B17/3205 ,  A61B17/00 ,  A61B17/30

CPC classification number: A61B1/00 ,  A61B1/0008 ,  A61B1/00087 ,  A61B1/00131 ,  A61B1/00137 ,  A61B17/00234 ,  A61B17/12013 ,  A61B17/320016 ,  A61B17/32056 ,  A61B2017/00269 ,  A61B2017/00296 ,  A61B2017/12018 ,  A61B2017/306

Abstract: A tissue resection cap assembly configured to be secured to the distal end of an elongated medical device, such as an endoscope, and a method for resecting tissue. The cap assembly may include a cap structure comprising a working channel and a resection device channel, wherein the resection device channel extends inside the cap structure to a resection device track positioned substantially around the working channel adjacent the distal end of the cap structure. The resection device channel is adapted to direct a resection device from the working channel of the endoscope to the resection device track. The cap assembly further includes one or more ligation bands on the outside surface of the cap structure and a trigger line for deploying the ligation bands from the distal end of the cap structure. The method includes deploying a ligation band around tissue and using a resecting loop to cut the tissue.

Abstract translation: 组织切除帽组件，其构造成固定到诸如内窥镜的细长医疗装置的远端，以及用于切除组织的方法。 帽组件可以包括帽结构，其包括工作通道和切除装置通道，其中所述切除装置通道在所述帽结构内延伸到切割装置轨道，所述切除装置轨道基本上位于邻近所述帽结构的远端的所述工作通道周围。 切除装置通道适于将切除装置从内窥镜的工作通道引导至切除装置轨道。 盖组件还包括在帽结构的外表面上的一个或多个连接带，以及用于从盖结构的远端展开连接带的触发线。 该方法包括在组织周围部署连接带并使用切割回路切割组织。